Organization Active NPI

Mindful Meridian Movement

  • Acupuncturist
  • Darien, IL
National Provider Identifier
1003664038
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
MINDFUL MERIDIAN MOVEMENT
Practice address
7702 Cass Ave Ste 240
Darien, IL 60561-5109
Phone
(708) 752-3332
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aaron Avila, LACNPI 1770356131
Title
Acupuncturist
Phone
(708) 752-3332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

7702 Cass Ave Ste 240
Darien, IL 60561-5109

Mailing address

3823 Oak Park Ave
Berwyn, IL 60402-3959

Other names 1

  • Resilient Acu & Mobility Doing business as

National Provider Directory

National Provider Directory

Locations

7702 Cass Ave
Ste 240
Darien, IL 60561
Phone (630) 277-9551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1003664038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 CASS AVE STE 240",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615109",
            "telephone_number": "708-752-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MERIDIAN MOVEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "708-752-3332",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resilient Acu & Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.